|Incident Report||Customer Accident X||Staff Accident|
|Information only||Property damage / loss|
|Date Reported: 5/27/98||Time Reported: 10:50 a.m.|
|Nature of Incident: Staple Stuck in carpet in meeting room - child scraped arm on caused bleeding|
|Date Occurred: 5/27/98||Time Occurred: 10:45 a.m.|
|Person Involved: MC||Telephone: 294-xxxx (Kiddie Prep School)|
|Details of Incident: (Who, What, When, Where, Why)|
M scraped arm on a staple that was stuck in the carpet
in the meeting room. This happened during storytime.
Staple caused M's arm to bleed. Gave M a band-aid.
M's address & phone unknown - with Kiddie Prep School - Teacher said to use their address & phone number
|Person Reporting: Stacey Willard||Same as above:|
[Note: names and personal info abbreviated to protect privacy.]